Integrated Chronic In Vivo and In Vitro Screens Uncover NFIL3 as a Driver of T-cell Dysfunction

Nayan Jain1, Yuzhe Shi1, Celina May2,3

  • 1Columbia Initiative in Cell Engineering and Therapy (CICET), Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, Columbia University, New York, New York.

Cancer Discovery
|February 26, 2026
PubMed

Insights

NFIL3 drives dysfunction in CAR T cells, limiting their effectiveness against solid tumors. Disrupting NFIL3 enhances CAR T cell persistence and anti-tumor activity, offering a new therapeutic target for cancer immunotherapy.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Chimeric antigen receptor (CAR) T cell therapy shows promise in hematological cancers but faces challenges in solid tumors due to limited T cell persistence.
  • Understanding the molecular mechanisms behind CAR T cell dysfunction is crucial for improving their efficacy.

Purpose of the Study:

  • To identify key regulators of CAR T cell dysfunction during chronic stimulation.
  • To evaluate the therapeutic potential of targeting identified regulators to enhance CAR T cell function in solid tumors.

Main Methods:

  • Conducted integrated chronic in vivo and in vitro screens of 400 transcription factors.
  • Utilized genetic disruption of identified factors in CAR T cells.
  • Assessed CAR T cell expansion, cytokine production, differentiation, and anti-tumor efficacy in mouse models.

Main Results:

  • Identified NFIL3 as a critical driver of CAR T cell dysfunction.
  • Genetic disruption of NFIL3 sustained CAR T cell expansion and cytokine production while restraining terminal differentiation.
  • Loss of NFIL3 enhanced CAR T cell efficacy, improving tumor control and survival in preclinical models.
  • NFIL3 disruption induced a transcriptional state associated with favorable clinical outcomes.

Conclusions:

  • NFIL3 is a key determinant of CAR T cell functional decline in the tumor microenvironment.
  • Targeting NFIL3 represents a promising strategy to enhance the efficacy of CAR T cell therapy for solid tumors.
  • Integrated in vivo and in vitro genetic screening is a powerful approach for discovering therapeutic targets in cancer immunotherapy.